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부산지역 무균성 뇌막염 원인 바이러스의 분리 및 동정 : 1998년을 중심으로
김영희,정영기,김기순,지영미,윤재득,김병준,구평태,민상기,정구영,김만수,조경순 동의대학교 기초과학연구소 2000 基礎科學硏究論文集 Vol.10 No.1
The incidence of aseptic meningitis infection is ensuing and threatening the health of children. Enteroviruses are the major agents of aseptic meningitis and identification of virus has been a clue to diagnosis and epidemiology. The outbreak of aseptic meningitis occurred in Pusan, 1998. Patients were concentrated from April through November. Children were more susceptible than adults. Among 306 cases of specimens from stool, throat swab tested, only 7.2% were positive on virus isolation, 12 cases from stool and 10 from throat, respectively. All isolated 7 serotypes of viruses represented cytopathic effect on cultured cells. Three types of echovirus 6, 25, 30 and coxsackievirus B2, B3, B4, B6 were identified by neutralizing anti body test. Isolated coxsackievirus and echovirus were observed by an electron microscope with negative staining.
Cognitive Behavioral Therapy for Insomnia Reduces Hypnotic Prescriptions
Kyung Mee Park,Tae Ho Kim,Woo Jung Kim,Suk Kyoon An,Kee Namkoong,Eun Lee 대한신경정신의학회 2018 PSYCHIATRY INVESTIGATION Vol.15 No.5
Objective This study determined whether cognitive behavioral therapy for insomnia (CBT-i) decreased the need for sleep medications and produced better treatment outcomes than pharmacotherapy alone. Methods We reviewed data from patients with insomnia in the outpatient clinic of a general hospital between 2009 and 2015. We compared 41 patients who received five sessions of CBT-i with 100 age- and sex-matched patients who received pharmacotherapy only. We evaluated the change in prescription for sleep (i.e., antidepressants, hypnotics, and others) between the first and last visits using repeated measures analysis of variance (ANOVA). Clinical global impressions and completion status at the last visit were assessed using the chisquare test. Results We found a significant decrease in the prescription rate and the dosage of hypnotics among patients who received CBT-i when compared with control patients. There was no significant change in the dosage of antidepressants between the two groups. Achievement of case closure was better in the CBT-i group at the trend level. Clinical global impression at the last visit was not significantly different. Conclusion These results show that CBT-i reduces the need for hypnotics among insomnia patients. Our results indicate that CBT-i offers additional benefits beyond improving sleep characteristics and thus provides another reason for recommending CBT-i as a first-line treatment for insomnia.
Original Article : Geographic difference of epidemiological features of HCV infection in Korea
( Kyung Ah Kim ),( Sook Hyang Jeong ),( Eun Sun Jang ),( Young Seok Kim3 ),( Youn Jae Lee ),( Eun Uk Jung ),( In Hee Kim ),( Sung Bum Cho ),( Mee Kyung Kee ),( Chun Kang ) 대한간학회 2014 Clinical and Molecular Hepatology(대한간학회지) Vol.20 No.4
Background/Aims: The prevalence of hepatitis C virus (HCV) infection in Korea exhibits significant geographic variation, with it being higher in Busan and Jeonam than in other areas. The reason for this intranational geographic difference was investigated in this study by conducting a comparative analysis of the risk factors related to HCV infection among three geographic areas: the capital (Seoul), Busan, and the province of Jeolla. Methods: In total, 990 patients with chronic HCV infection were prospectively enrolled at 5 university hospitals located in Seoul (n=374), Busan (n=264), and Jeolla (n=352). A standardized questionnaire survey on the risk factors for HCV infection was administered to these three groups of patients, and a comparative analysis of the findings was performed. Results: The analysis revealed significant regional differences in exposure to the risk factors of HCV infection. By comparison with patients in Seoul as a control group in the multivariate analysis, patients in Busan had significantly more experience of invasive medical procedures, acupuncture, cosmetic procedures, and multiple sex partners. In contrast, patients in Jeolla were significantly older, and they had a higher prevalence of hepatocellular carcinoma, a lower prevalence of multiple sex partners, and had experienced fewer invasive procedures. Conclusions: There was a significant geographic difference in the exposure to potential risk factors of HCV infection between patients from the three studied regions. This may explain the regional variation of the prevalence of HCV infection in Korea, and should be taken into account when planning strategies for the prevention and management of HCV infection. (Clin Mol Hepatol 2014;20:361-367)
( In Mee Han ),( Dong Ho Shin ),( Youn Kyung Kee ),( Chang Yun Yoon ),( Eunyoung Lee ),( Young Su Joo ),( Seung Gyu Han ),( Hyung Jung Oh ),( Jung Tak Park ),( Seung Hyeok Han ),( Shin Wook Kang ),( T 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: Delta Neutrophil Index (DNI) indicates the fraction of circulating immature granulocytes, which is known to increase in infectious and/or septic conditions. However, the relationship between DNI and mortality in septic acute kidney injury (AKI) patients is not yet fully elucidated. Therefore, we assessed whether DNI is associated with mortality in septic AKI patients requiring continuous renal replacement therapy (CRRT). Methods: We retrospectively enrolled 285 patients with septic AKI who were treated with CRRT at Yonsei University Health System between August 2009 and September 2012. The patients were dichotomized into high and low DNI groups based on the cutoff value from receiver operating characteristics of DNI values at the time of CRRT initiation. Log-rank test and Cox proportional hazards analysis were conducted to evaluate the effect of DNI as a prognostic factor for 28-day all-cause mortality. Results: The mean age of the enrolled patients was 61.0 ± 14.7 years and 180 patients (63.2%) were male. The high DNI group (DNI > 5.6%) was composed of 149 patients (52.3%). During the study period, 192 patients (67.1%) died. Mortality rate during the 28-days was significantly increased in the high DNI group compared to low DNI group (79.9% vs. 53.3%, P < 0.01, log rank test p Conclusions: This study demonstrates that DNI at CRRT initiation could be an useful predictor for mortality in septic AKI patients requiring CRRT.
( Youn Kyung Kee ),( Tae Hyun Yoo ),( Seung Gyu Han ),( In Mee Han ),( Chang Yun Yoon ),( Eunyoung Lee ),( Young Su Joo ),( Jung Tak Park ),( Seung Hyeok Han ),( Beom Seok Kim ),( Shin Wook Kang ),( K 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: Continuous renal replacement therapy (CRRT) has been widely used in critically ill acute kidney injury (AKI) patients. Moreover, some centers operate a specialized CRRT team (SCT) composed of physicians and nurses, but few studies have yet determined the superiority of SCT control. Methods: A total of 334 among 534 patients in original cohort, who started CRRT for severe AKI between August 2007 and September 2009 in Yonsei University Health System and were matched with a propensity score (PS), were divided into two groups based on SCT application. Moreover, we compared CRRT-related outcomes including down-time per day and lost time per filter-exchange between the two groups. The primary outcomes were 28- and 90-day all-cause mortality, and the secondary outcomes were the rates of renal function recovery at 28- and 90-day. Results: The down-time per day, lost time per filter-exchange, and RBC-transfused numbers during CRRT treatment were significantly lower after SCT approach compared with the group before SCT, while net ultrafiltration rate in after SCT group was significantly higher compared to the before SCT group. During the study period, the 28- and 90-day all-cause mortality rates were significantly decreased after SCT application. Cox regression analysis revealed that 28- and 90-day all-cause mortality rates were significantly lower under SCT control, after adjusting for primary diagnosis, emergent surgical cases, Charlson Comorbidity Index and biochemical parameters. However, there were no significant differences in the rate of renal function recovery before and after SCT approach in CRRT. Conclusions: A well-organized CRRT team could be beneficial for the clinical outcomes of AKI patients requiring CRRT.
부산지역 무균성 뇌막염 원인 바이러스의 분리 및 동정 : 1998 년을 중심으로
조경순,김만수,정구영,민상기,구평태,김병준,윤재득,지영미,김기순,김영희,정영기 한국환경과학회 1999 한국환경과학회지 Vol.8 No.2
The incidence of aseptic meningitis infection is ensuing and threatening the health of children. Enteroviruses are the major agents of aseptic meningitis and identification of virus has been a clue to diagnosis and epidemiology. The outbreak of aseptic meningitis occurred in Pusan, 1998. Patients were concentrated from April through November. Children were more susceptible than adults. Among 306 cases of specimens from stool, throat swab tested, only 7.2% were positive on virus isolation, 12 cases from stool and 10 from throat, respectively. All isolated 7 serotypes of viruses represented cytopathic effect on cultured cells. Three types of echovirus 6, 25, 30 and coxsackievirus B2, B3, B4, B6 were identified by neutralizing antibody test. Isolated coxsackievirus and echovirus were observed by an electron microscope with negative staining.